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Women are so reluctant to admit they have reached the menopause that they ignore the signs and put off seeking medical advice, researchers have found.A survey commissioned by Novo Nordisk found that more than a quarter of women would be too embarrassed to discuss their symptoms with their doctor or partner and would rather cope alone instead.Over three fifths also admitted that they were afraid of the effect menopause would have on their self-confidence. Over half were concerned by the health implications, and more than a third were scared about the effect on their sex life.Relate counsellor and sex therapist Denise Knowles commented: 'It is time for women to make sure they understand the changes that their body will go through and be open and honest to themselves and their families.'The menopause is nothing to be ashamed about. Women of menopausal age can be extremely sexy, confident and liberated - just look at Sex and the City's Kim Cattrall!'One of the most worrying findings of the research is that one in ten women do not even realise that all females are affected by the menopause as they enter midlife, with some believing it to be a sign of ill health.